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Individual
AMANDA NICOLE WAITE
Active
Individual
AMANDA NICOLE WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704348270
MI
Other
Enumeration date
04/27/2020
Last updated
02/17/2025
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